鼻科手术与咽鼓管功能：对中耳通气的影响
Nasal surgery and eustachian tube function: effects on middle ear ventilation.
作者信息
Salvinelli F, Casale M, Greco F, D'Ascanio L, Petitti T, Di Peco V
机构信息
Department of Otolaryngology, Interdisciplinary Center for Biomedical Research (CIR), University Campus Bio-Medico, Rome, Italy.
出版信息
Clin Otolaryngol. 2005 Oct;30(5):409-13. doi: 10.1111/j.1365-2273.2005.01052.x.
OBJECTIVES
To investigate the effect of nasal obstruction surgery on eustachian tube function and middle ear ventilation.
DESIGN
Prospective study.
SETTING
University Campus Bio-Medico of Rome.
PARTICIPANTS
Forty consecutive patients who underwent nasal surgery were evaluated for middle ear ventilation and tubal function.
MAIN OUTCOME MEASURES
Pre- and postoperative Valsalva and Toynbee tubal function tests, tympanometry and ear fullness sensation were evaluated for both ears of each patient.
RESULTS
Results of postoperative tubal function tests were significantly better than preoperative ones (90% versus 46%; P<0.001). No significant difference in tympanometric values was found. The majority (95%) of the patients reported a postoperative improvement of ear fullness sensation compared with preoperative (25%; P<0.001).
CONCLUSIONS
Surgery for chronic nasal obstruction significantly improves clinical tubal function but 1-month postoperative tympanometric findings remain almost the same.
目的
研究鼻阻塞手术对咽鼓管功能及中耳通气的影响。
设计
前瞻性研究。
地点
罗马大学生物医学园区。
参与者
对40例连续接受鼻部手术的患者进行中耳通气及咽鼓管功能评估。
主要观察指标
对每位患者双耳术前及术后进行瓦尔萨尔瓦氏试验和汤因比氏咽鼓管功能测试、鼓室导抗图检查及耳部闷胀感评估。
结果
术后咽鼓管功能测试结果显著优于术前（90%对46%；P<0.001）。鼓室导抗图检查值未发现显著差异。与术前相比，大多数患者（95%）术后耳部闷胀感有所改善（25%；P<0.001）。
结论
慢性鼻阻塞手术可显著改善临床咽鼓管功能，但术后1个月鼓室导抗图检查结果几乎保持不变。
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